Healthcare Insurance Specialist
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical mission—to take care of our people. We provide a comprehensive array of services that meet the needs of patients and families across the healthcare continuum. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare’s core values. By joining our team, you will have the opportunity to impact patient’s lives daily and grow your career in a culture of collaboration, compassion, and commitment. We are excited to continue to grow our mission family!
Benefits for Eligible Employees
Available to FT, PT and PRN:
- 401(k) retirement savings plan
- Mileage reimbursement
- Employee Assistance Program (EAP)
- Paid vacation, sick leave, and holidays
Additional FT Benefits:
- Medical, dental, and vision insurance
- Flexible Spending & Health Savings Accounts
- Disability, life, and AD&D insurance
- Pet insurance
Mission Healthcare is seeking a dedicated and detail-oriented Insurance Specialist to join our team. In this role, you will manage the full referral process for non-Medicare referrals, ensuring a seamless experience for patients, physicians, and internal teams. This position requires strong communication skills, attention to detail, and occasional weekend availability.
- Manage the end-to-end referral process for non-Medicare referrals, from initiation through completion.
- Accept and process referrals from multiple referral sources using electronic referral systems.
- Complete referrals accurately in Homecare Homebase (HCHB).
- Verify patient demographics, service needs, insurance coverage, and Durable Power of Attorney information, when applicable.
- Obtain insurance verification, eligibility, and authorization for third-party payors, including MIA, Medi-Cal, Managed Care, and other designated coverage.
- Communicate insurance and authorization information in a timely and accurate manner.
- Contact physician offices to acknowledge referrals, confirm order follow-through and signatures, and offer additional support as needed.
- Maintain accurate documentation and referral records in accordance with company standards.
Qualifications:
- Previous experience in insurance verification, referrals, or healthcare administrative support preferred.
- Familiarity with Homecare Homebase (HCHB) and electronic referral systems strongly preferred.
- Knowledge of third-party payors, including Medi-Cal and managed care plans.
- Strong communication and customer service skills, both verbal and written.
- High attention to detail with the ability to manage multiple priorities in a fast-paced environment.
- Ability to work occasional weekends as needed.
Communication Consent:
By submitting an application, you acknowledge and consent to receive communications—including emails, phone calls, and text messages—from Mission Healthcare and its recruiters regarding your application and potential employment opportunities. You may opt out of text messages at any time by responding with "STOP".
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